| NPI | 1255455192 |
|---|---|
| Doing Business As | GUIDE INDEPENDENCE PRP - MONTGOMERY TAY |
| Entity Type | Organization |
| Authorized Contact | SCOTT K. BIRDSONG Executive Director & President 301-549-3602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |